Educator Excursion Visit Record

• Conducted on

  Date

• Prepared by

• Location
  Address

• Educator

• Trim File Number

SITE INFORMATION

• Educator:

• Select date

  Date

• Venue:

• Locate
  Address

• Add media

  Media

• Weather

  Select Hot Warm & Sunny Cold Cold & wet Wet Sunny

  • Hot
  • Warm & Sunny
  • Cold
  • Cold & wet
  • Wet
  • Sunny

CHILDREN IN CARE

• Child 1.

• Child 2.

• Child 3.

• Child 4.

• Absent:

• Child Health & Wellbeing

COMPLIANCE

• Hats

• Emergency contact name & numbers

• Sunscreen

• First Aid Kit

• Nappy change items

• Was water accessible to children:

GENERAL COMMENTS

• Add media

  Media

• Educator Goal:

• Follow - up required by Educator:

• CDCFollow - up:

• Educator's Signature

  Sign

• CDC Signature

  Sign